DR. HOLLY MARIE DOHERTY DC
NPI 1073078861
Chiropractor in Morton, IL

Active since February 05, 2019Accepts Medicare Assignment
658 W JACKSON ST, MORTON, IL 61550(309) 284-0494 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Holly Marie Doherty Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLY MARIE DOHERTY DC (NPI 1073078861) is an individual chiropractor in Morton, Illinois, licensed in Illinois (038013297) and active in the NPI registry since February 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1073078861
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. HOLLY MARIE DOHERTYCredential: DC
Location Address658 W JACKSON STMorton, IL 61550-1536
Mailing Address6 Jill CtBloomington, IL 61701-2011 · (309) 648-2031
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 5, 2019
Last NPPES UpdateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
NPI 1073078861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038013297
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
658 W JACKSON ST, Morton, IL 61550

Other Names 1

Former Name (1)Dr. Holly Marie Waxler Dc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Holly Marie Doherty Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587905047
PECOS Enrollment IDI20190410000549

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
658 W JACKSON ST
MORTON, IL 61550
Chiropractor
658 W JACKSON ST
MORTON, IL 61550
Chiropractor
658 W JACKSON ST
MORTON, IL 61550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Doherty's NPI number?

The NPI number for Holly Doherty is 1073078861. It was assigned to this individual provider in the NPPES registry on February 5, 2019. The provider is also known as Dr. Holly Marie Waxler Dc.

Where is Holly Doherty located?

Holly Doherty practices at 658 W Jackson St, Morton, IL 61550. The listed phone number is (309) 284-0494.

What is Holly Doherty's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Holly Doherty enrolled in Medicare?

Yes. Holly Doherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Holly Doherty was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.